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Individual

DR. PATRICK ALAN MCMILLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
105 EAST MARION STREET, PILOT MOUNTAIN, NC 27041
(336) 368-2638
Mailing address
PO BOX 576, PILOT MOUNTAIN, NC 27041-0576

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5166
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8995849
NC
Enumeration date
11/27/2006
Last updated
07/08/2007
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